SHANNON LYN MANLEY (NPI# 1780149153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780149153 |
| Entity Type | Individual |
| Full Name | SHANNON LYN MANLEY |
| Other Name | SHANNON JORDAN |
| Credential | FNP-BC |
| Practice Address |
3900 Piedmont Ave Oakland CA 94611-5352 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 4154327899 |
| Practice Fax Number | 5108997101 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95010607 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487169835 | Shannon Manley | Student in an Organized Health Care Education/Training Program | 424 W Woodruff Ave, Toledo, OH 43604-5027 | 2017-12-07 |
| Street Address |
3900 PIEDMONT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005710 | Lindsay Fischer | Nurse Practitioner | 3900 Piedmont Ave, Oakland, CA 94611 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124402888 | Christine Wilson | Nurse Practitioner | 710 Regina Cir, Oakland, FL 34787-8961 | 2015-07-13 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1750523767 | Cara Susan Stone | Nurse Practitioner | 1682 7th St, Oakland, CA 94607-1351 | 2009-04-06 |
| 1275789935 | Tippini Lott | Nurse Practitioner | 14101 Hickory Street, Oakland, MS 38948-0000 | 2008-08-13 |
| 1861607764 | Lisa Marie Thompson | Nurse Practitioner | 3541 E. 12th Street, Oakland, CA 94601 | 2007-05-14 |
| 1700986056 | Katherine Anne Rhodes | Nurse Practitioner | 4351 Broadway, Oakland, CA 94611-4612 | 2006-09-25 |
| 1477667798 | Emerlinda Imperio | Nurse Practitioner | 19 Yawpo Ave, Oakland, NJ 07436-2739 | 2006-08-17 |
| 1629092945 | Kelly A. Maris-weissburg | Nurse Practitioner | 80 Grand Ave Ste 602, Oakland, CA 94612-3744 | 2006-07-27 |
| 1730108309 | Mitchell D'arata | Nurse Practitioner | 3100 Summit Street, Oakland, CA 94609-0000 | 2006-07-18 |
| 1548205115 | Rebecca N. Faith | Nurse Practitioner | 350 30th St Ste 320, Oakland, CA 94609-3425 | 2006-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.